Yawa Agbeli

Individual provider Active NPI Home Health Aide · Washington, DC

NPI 1477805232 · NPPES record last updated Oct 3, 2012

Key facts

NPI
1477805232
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
Practice address
6856 Eastern Ave NW
376-D
Washington, DC 20012-2165
Phone
(202) 450-2124
Fax
(202) 450-2125
NPI assigned
Oct 3, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Keliz LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X DC Yes

Addresses

Primary practice location

6856 Eastern Ave NW
376-D
Washington, DC 20012-2165

Mailing address

6856 Eastern Ave NW
376-D
Washington, DC 20012-2165
Phone (202) 450-2124

Other providers in Washington, DC

All providers in Washington, DC · Home Health Aide in District of Columbia

Sources for this page

Verify at the official NPI Registry.